Resident Health Quality » Twin Oaks Rehabilitation and Healthcare Center

Used in Quality Measure Five Star Rating - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents whose ability to move independently worsened 4.3 6.1 2.5 4.2
Percentage of high risk long-stay residents with pressure ulcers 7.5 7.7 7.0 7.0
Percentage of long-stay residents experiencing one or more falls with major injury 0.9 1.7 1.7 1.5
Percentage of long-stay residents whose need for help with daily activities has increased 1.2 2.4 2.3 2.1
Percentage of long-stay residents who self-report moderate to severe pain 7.9 8.7 2.5 6.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.1 3.4 2.3 3.1
Percentage of long-stay residents with a urinary tract infection 2.8 1.7 3.5 3.3
Percentage of long-stay residents who received an antipsychotic medication 16.5 17.3 20.7 18.6

Used in Quality Measure Five Star Rating - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who made improvements in function 71.9 71.8 * 64.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 9.5 2.8
Percentage of short-stay residents who self-report moderate to severe pain 17.9 18.8 20.0 17.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.3 15.9 14.4 14.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1 99.1 99.1 99.1
Percentage of long-stay residents who lose too much weight 1.0 1.8 0.9 1.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 36.1 35.9 37.8 37.0
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
  1. * Not Available - The number of residents is too small to report.  Call the facility to discuss this quality measure.

Nursing homes regularly collect assessment information on all their residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well being. Nursing homes self-report this information to Medicare.

About Quality Measures

References

  1. http://www.medicare.gov/NursingHomeCompare/Data/Long-Stay-Residents.html
  2. http://www.medicare.gov/NursingHomeCompare/Data/Short-Stay-Residents.html